Individual
DR. ANIL CHAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0021
(219) 852-1524
(219) 933-2288
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01038935
IN
208M00000X
Hospitalist Physician
Primary
01038935A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079479
ANTHEM BCBS PROVIDER PIN
IN
05
—
100319600
—
IN
01
—
10780921
CAQH NUMBER
IN
01
—
91115450
BCBS IL PROVIDER NUMBER
IL
Enumeration date
05/02/2006
Last updated
04/14/2023
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